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Utilization Review Assistant information

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$9

$27

$55

How much do utilization review assistant jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for utilization review assistant in Michigan is $27.18, according to ZipRecruiter salary data. Most workers in this role earn between $15.41 and $33.35 per hour, depending on experience, location, and employer.

What is a Utilization Review Assistant job?

A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.

What are the key skills and qualifications needed to thrive in the Utilization Review Assistant position, and why are they important?

To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.

What does a typical day look like for a Utilization Review Assistant and who do they work with?

A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.

What are the most commonly searched types of Utilization Review jobs in Michigan? The most popular types of Utilization Review jobs in Michigan are:
What are popular job titles related to Utilization Review Assistant jobs in Michigan? For Utilization Review Assistant jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Utilization Review Assistant jobs in Michigan look for? The top searched job categories for Utilization Review Assistant jobs in Michigan are:
What cities in Michigan are hiring for Utilization Review Assistant jobs? Cities in Michigan with the most Utilization Review Assistant job openings:
Utilization Review Assistant jobs near you

Registered Nurse - Patient Placement Specialist - Nursing Support

McLaren Medical Group

Bay City, MI

Other

Posted 2 days ago

Job description

Nurse

Position Summary:

Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also, responsible for overseeing the daily activities of Patient Placement Services while performing patient placement functions as necessary according to applicable departmental and hospital policies and procedures.

Essential Functions and Responsibilities:

  1. Utilizes inpatient admission criteria to assign only diagnoses that meet acute care criteria. In the advent diagnosis does not meet admission criteria, communicates with the appropriate staff regarding site of service.
  2. Acts as a resource for physicians (by phone) regarding appropriate admission status.
  3. Supports the utilization function by performing efficient methods of work processing and workflow.
  4. Receives complete bed requests and communicates with Patient Placement staff in a timely fashion to plan, prioritize and coordinate the admission and transfer of patient.
  5. Understands and follows the Clinical Guidelines for Patient Placement as directed by the Manager.
  6. Contacts physicians, physician offices, other healthcare agencies and other departments to obtain complete scheduling information as necessary.
  7. Compares available beds with surgery and special studies schedules.
  8. Consults with the Administrative Nursing Supervisor on a regular and timely basis concerning staff resources and matters that require immediate attention beyond scope of responsibility, including but not limited to requests for direct admits with no immediate availability of bed, or immediate ability to place.
  9. Accurately assigns appropriate room/bed assignments, admits, discharges and transfers patients within computer systems. Communicates with all involved parties on a timely basis and in a professional manner.
  10. Assists Manager in identifying and resolving problems related to patient placement, registration and flow.
  11. Assists Manager in establishing standards of performance and effective processes to promote quality service.
  12. Acts as liaison between the department and other departments or entities for process development and improvement activities as directed.
  13. Assists in orientation of new employees to the work area.
  14. Maintains records, files, reports, and other documentation related to the work.
  15. Explains procedures that pertain to scheduling to employees as needed.
  16. Performs other related responsibilities as necessary.

Qualifications:

  • Associate Degree in Nursing.
  • Licensed by the State of Michigan as a Registered Nurse.
  • Three years' experience as licensed registered nurse in an acute care setting or physician office.
  • Professional demeanor and ability to maintain composure in stressful situations.
  • Excellent communication and interpersonal skills.
  • Demonstrates proficiency in Microsoft applications with the ability to type 40 wpm.

Preferred:

  • Bachelor's Degree in Nursing.
  • Two years' experience in hospital utilization review.
  • Minimum of one-year experience as charge nurse or leadership role.
  • Demonstrated competency in patient placement software.

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